Individual
MS. DEANNA M NIEDENTHAL-DURET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
200 ELM STREET NORTH, ONAMIA, MN 56359
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM STREET NORTH, ONAMIA, MN 56359
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3924
MN
133V00000X
Registered Dietitian
5377
WI
133V00000X
Registered Dietitian
DI00001831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8448821
—
WA
Enumeration date
01/25/2007
Last updated
01/03/2024
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